NPIMap

Organization Active NPI

Tenderly Hospice, LLC

  • Community Based Hospice Care Agency
  • Tigard, OR
National Provider Identifier
1649826702
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TENDERLY HOSPICE, LLC
Practice address
7150 SW Hampton St Ste 200
Tigard, OR 97223-8378
Phone
(503) 482-4600
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crissel Araneta, RN
Title
Representative
Phone
(503) 482-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7150 SW Hampton St Ste 200
Tigard, OR 97223-8378

Mailing address

7150 SW Hampton St Ste 200
Tigard, OR 97223-8378
Phone (503) 482-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106002757 OR Part A Provider - Hospice 7517391212 Practice locations: Tigard, OR

Hospice certification: CCN 381571

Legal name
TENDERLY HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 1, 2020
Last certification
Apr 1, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 10, 2019 in OR
Enrollment address
7150 SW Hampton St
Ste 200
Tigard, OR 97223-8378

Care Compare: Hospice

Medicare Care Compare
Listed as
Tenderly HospiceCCN 381571
Ownership
For-Profit
Certified
Apr 1, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2221672Tenderly Hospice, LLC7150 SW Hampton Ste 200, Tigard, OR 97223Certificate of waiverApr 21, 2027

National Provider Directory

National Provider Directory

Locations

10211 SW Barbur Blvd
Ste 215A
Portland, OR 97219
Phone (503) 482-4600

9500 SW Barbur Blvd
Ste 260
Portland, OR 97219
Phone (503) 419-9724

7150 SW Hampton St
Ste 200
Tigard, OR 97223
Phone (503) 482-4600

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Helen Frace Individual 5% Or Greater Direct Ownership InterestChief Nursing Officer Oct 4, 2019 10%
Narcis Liviu Damian Individual 5% Or Greater Direct Ownership InterestChief Business Development Officer Oct 4, 2019 30%
Hidenao Kimura Individual Contracted Managing EmployeeMD; Sep 1, 2019
Mark Michael Araneta Individual 5% Or Greater Indirect Ownership Interest Oct 4, 2019 30%
Care Management,LLC Organization, Portland, OR LLC, Management services company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 30%
Crissel Anne Araneta Individual 5% Or Greater Direct Ownership InterestCeo Oct 4, 2019 30%
W-2 Managing EmployeeAd; Sep 1, 2019
Operational/Managerial ControlCeo Oct 4, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1649826702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238378",
            "telephone_number": "503-482-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238378",
            "telephone_number": "503-482-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERLY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "ARANETA",
        "authorized_official_first_name": "CRISSEL",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "503-482-4600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.